Sunday, November 1, 2020

week before HO


What to do a week before HO?

or at least the things i wished i could have done during my time😂

1. fitness

It is easy to tell everyone to start exercising, ain't easy but we need to start keep fit before starting work. especially to those who has been slacking behind for about a year before getting into hospital. waited for 2 years and I cant imagine how rusted I am going to be, oh lord...

2. Prepare things for work and your PTM documents

- Stethescope

- HO kit (measuring tape, ruler, small stapler, lanyard, scrubs, black pen, notebook)

- Prepare photo and documents (different hospital different document)

- Rubber stamps (blue ink/depends on hospital) and name tags(magnetic)

- Formal clothes and comfortable shoes

- Bag that can be used during rounds (girls)


3. Start revising

at least 30 minutes a day to get it started, the more the better!  (How much I have hoped that I could do before starting, instead of shopping.)

- revise format of documentation

- 5 core knowledge brush up - N&A

- build networking


4. Hospital orientation

- weekend off you try to go for pre-tag. 

- list of thing need to do during pre tag

- need to ask if senior ho can help and bring you around. (informal orientation of the respective department). They will be more available and free during weekend rounds. 


checklist to ask the senior:

1. department orientation & layout (how many ward, how many male/female where is the ward, OnG antenatal or postnatal, labor room; OT?poly OT? where to find things to get blood)

2. ward work flow & Timing

- make sure you clear up all patient before turn over. 

- all different in different department, reach 2 hours before specialist come. 

- how to manage & prioritize ward work: what to do during ward round, what must do immediately, what can wait?

3.  how to do review, how to do round? 

    --first day report to the department clinic first, to the HOD/kerani. give logbook or documents.  

    -- go to the ward that you are assigned. 

4. introduce urself, name in front of others(especially nurses)

- use ur free pass to ask all question, help senior ho as much as possible. 

- pm round, take a few patient for review. 

- what are the common cases. question to ask, sign to look out, how to do review. ask how many pt to cover during morning round. 

5. how to do referral, request for radiological investigation, posting case to anaesthetist.

6. common procedure for department (how to fill up common forms, order investigation through Hospital System)

7. know your superiors and adjust to their work style, hod, supervisor, specialist, MOs in charge 

8. books, reference, app needed

- incident of extend

- know the style of supervisor, what are their favourite question. 

9. assessment, structure and deadline

- short case: cpd, long case: bdcs, mcq

- make sure you take the long case assessment with specialist 2 weeks before.

- present one cma topic, log book submit 2 weeks before finish posting. 

 

Readings you can do before going into HO

https://mmc.gov.my/laws-regulations/

code of professional conduct

Guides to good medical practice

Guidebook for Houseofficers


good luck and all the best to everyone in and those going into the system.

 

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